Individual
ANTONIO ALCORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCO
Contact information
Practice address
2155 W MARCH LN, SUITE 3F, STOCKTON, CA 95207-6420
(209) 477-6352
(559) 252-1781
Mailing address
4926 E YALE AVE, STE 102, FRESNO, CA 93727-1561
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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